- Answer incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements
- Provide exceptional customer service to callers
- Troubleshoot billing inquiries
- Explain benefits coverages, courses of action, and timeframes
- Document, record, and close issues properly
- Collaborate with internal departments to research insurance denials, missing payments, and attorney requests
- Perform special projects and other assigned duties
Requirements
- Associate's degree (2 years), required
- Bachelor's degree in any related field, preferred
- One (1) year of customer service experience in a high volume, fast paced environment
- Healthcare call center experience preferred
- Fluency in English
- Knowledge of the Explanation of Benefits
- Knowledge of a variety of insurance plans
- Knowledge of ICD-10 and CPT Codes
- Strong word processing, spreadsheet, and database software skills
- Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals
- Strong oral, written, and interpersonal communication skills
- Strong time management skills
- Strong organizational skills
- Strong customer service skills
- Ability to understand, analyze, interpret, and explain complex documents
- Ability to work in a team environment
- Ability to adhere to standards and quality guidelines
- Ability to read, understand, and apply state/federal laws, regulations, and policies
- Ability to remain flexible and work within a collaborative and fast paced environment
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner
Core Competencies
Demonstrates expertise in patient billing inquiries, insurance coverage explanations, and effective communication in a healthcare call center environment. Proficient in managing complex documents and collaborating with internal teams to resolve issues efficiently.
Highest-signal resume keywords
- Customer Service Experience
- Healthcare Call Center Experience
- Knowledge of Explanation of Benefits
- ICD-10 and CPT Codes Knowledge
- Strong Communication Skills
Hard Skills
- Mathematical Skills
- Word Processing Skills
- Spreadsheet Skills
- Database Software Skills
- Understanding of Insurance Plans
Soft Skills
- Time Management Skills
- Organizational Skills
- Interpersonal Communication Skills
- Ability to Work in a Team Environment
- Flexibility in Fast Paced Environment
Certifications & Qualifications
- Associate's Degree
Industry Keywords
- Patient Medical Bills
- Insurance Denials
- Bill Payment Arrangements
- State/Federal Laws
- Quality Guidelines
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Contact Center Specialist Arbeitgeber: Jobtailor
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